基于循证医学指导的小儿支气管肺炎临床路径管理实施效果

Implementing effect of clinical pathway management for bronchial pneumonia in children guidance based on evidence-based medicine

目的 探讨基于循证医学指导的临床路径管理的实施效果。方法 选择2013年7~12月于河北北方学院附属第一医院确诊的支气管肺炎患儿88例,随机分为观察组（44例）和对照组（44例）。其中对照组采用传统的常规医疗模式,观察组在对照组基础上,实施基于循证医学指导的临床路径管理。对两组患者的恢复情况、住院时间、住院费用以及满意度进行比较分析。结果 观察组有效率（95.45%）显著高于对照组（75.00%）,差异有统计学意义（P〈0.05）;观察组住院费用[（4856.0±823.0）元]及住院时间[（10.2±2.0）d]明显低于对照组[（6451.0±845.0）元、（11.8±2.3）d],差异均有统计学意义（均P〈0.05）;观察组总满意率达95.45%,显著高于对照组的77.27%,差异有统计学意义（P〈0.05）。结论 基于循证医学指导的临床路径管理的实施,能够明显改善患者治疗效果,降低住院费用、缩短住院时间、提高患者满意度,具有较好的适用性和现实意义,值得临床进一步推广。

Objective To investigate the effect of clinical pathway management guidance based on evidence-based medicine. Methods From July to December 2013, in the First Affiliated Hospital of Hebei North University, 88 children with bronchial pneumonia were selected and randomly divided into observation group（44 cases） and control group（44 cases）. The control group were given conventional medical treatment of traditional pattern, and the observation group were given clinical pathway management guidance based on evidence-based medicine based on the control group. The recovery situation, hospital stay, hospital costs and the satisfaction of two groups were compared and analyzed. Results In the observation group, the effective rate（95.45%） significantly higher than that in the control group（75%）, the difference was statistically significant（P〈0.05）; the hospitalization expenses [（4856.0 ±823.0） yuan] and hospitalization time [（10.2 ±2.0） d] time in observation group were significantly lower than those of the control group[（6451.0±845.0） yuan（11.8±2.3） d], the differences were statistically significant（P〈0.05）; the satisfactory rate in observation group（95.45%） higher than that in the control group（77.27%）, the difference was statistically significant（P〈0.05）. Conclusion The implementation of clinical pathway management based on evidence-basedguidance, can significantly improve the treatment effect, reduce the hospitalization costs and shorten the hospitalization time, improve the satisfaction of patients, has good applicability and practical significance, is worthy of further promotion.